Squint: Bruckner test: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Ophthalmology · Squint: Bruckner test

Sample item

In a screening camp, both eyes of a child are viewed together at arm's length with an ophthalmoscope, and one red reflex is brighter than the other. What does this suggest?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Strabismus or anisometropia in the brighter eye

The Bruckner test compares both red reflexes at once. An unequal reflex suggests strabismus or anisometropia, and the deviated eye usually shows the brighter reflex. Cataract would give dark or absent reflexes.

Option by option

  • A. Bilateral cataract

    Bilateral cataract produces dark opacities in both reflexes.

  • B. Normal eyes

    Normal eyes give equal reflexes.

  • C. Colour vision deficiency

    Colour vision is not tested by the red reflex.

  • D. Strabismus or anisometropia in the brighter eye (correct)

    Correct. Asymmetry of red reflexes suggests deviation or refractive difference.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is D, Strabismus or anisometropia in the brighter eye. The Bruckner test compares both red reflexes at once.

Why is "Bilateral cataract" not the answer?

Bilateral cataract produces dark opacities in both reflexes.

Why is "Normal eyes" not the answer?

Normal eyes give equal reflexes.

Why is "Colour vision deficiency" not the answer?

Colour vision is not tested by the red reflex.

What concept does this question test?

It tests Squint: Bruckner test in Ophthalmology. An unequal reflex suggests strabismus or anisometropia, and the deviated eye usually shows the brighter reflex. Cataract would give dark or absent reflexes.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Squint: Bruckner test?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.